Surgical treatment of gallstone ileus caused by cholecystoduodenal fistula: A case report
Authors: Trong Anh Nguyen, Lars Leupolt, Carolin Fischer, Eberhard Schneider
Introduction: Gallstone ileus is a rare complication of cholelithiasis caused by bilioenteric fistula. Beside clinical examination CT scan is the considered radiological diagnostic procedure. Presentation of case: 68-year old male patient presented with epigastralgia, nausea and emesis. Abdomen was distended and diffusely painful to palpation with peritoneal irritation. Auscultation showed raised peristaltic sounds. CT scan showed aerobilia, distension of stomach, duodenum and proximal jejunum and inside it a 3.5 cm calcified round foreign body. Exploratory laparoscopy showed jejunum obstruction and chronic inflammation of gallbladder. Lifting the small bowel through small laparotomy was performed for gallstone removing. After recovery a delayed cholecystectomy and fistula closure followed. Hospital stays were short and complications-free. Conclusion: It is necessary to solve both, ileus and fistula, to prevent new bowel obstruction. The 2-step surgical procedure is a save treatment option, extraction of gallstone from bowel first, followed by delayed cholecystectomy and fistula closure.
Keywords: gallstone ileus, bilioenteric fistula, surgical treatment, delayed cholecystectomy, fistula closure
Authors
Trong Anh Nguyen
Commissioner of Clinical Studies, Department of General, Visceral and Thoracic Surgery, GPR Ruesselsheim, 65428 Ruesselsheim am Main, Germany
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Correspondence to:
Trong Anh Nguyen, Commissioner of Clinical Studies, Department of General, Visceral and Thoracic Surgery, GPR Ruesselsheim, 65428 Ruesselsheim am Main, Germany tronganh.nguyen@gp-ruesselsheim.de
Publication history:
Received 06 Dec 2023
Accepted 17 May 2024
Published online 26 May 2024
Nguyen TA, Leupolt L, Fischer C, Schneider E. Surgical treatment of gallstone ileus caused by cholecystoduodenal fistula: A case report. EJMCR. Online First: 26 May, 2024. doi:
10.24911/ejmcr.173-1701863881
Nguyen TA, Leupolt L, Fischer C, Schneider E. Surgical treatment of gallstone ileus caused by cholecystoduodenal fistula: A case report. https://www.ejmcr.com/?mno=180204 [Access: July 03, 2024]. doi:
10.24911/ejmcr.173-1701863881
Nguyen TA, Leupolt L, Fischer C, Schneider E. Surgical treatment of gallstone ileus caused by cholecystoduodenal fistula: A case report. EJMCR. Online First: 26 May, 2024. doi:
10.24911/ejmcr.173-1701863881
Nguyen TA, Leupolt L, Fischer C, Schneider E. Surgical treatment of gallstone ileus caused by cholecystoduodenal fistula: A case report. EJMCR, [cited July 03, 2024]; Online First: 26 May, 2024. doi:
10.24911/ejmcr.173-1701863881
Nguyen, T. A., Leupolt, . L., Fischer, . C. & Schneider, . E. (2024) Surgical treatment of gallstone ileus caused by cholecystoduodenal fistula: A case report. EJMCR, Online First: 26 May, 2024. doi:
10.24911/ejmcr.173-1701863881
Nguyen, Trong Anh, Lars Leupolt, Carolin Fischer, and Eberhard Schneider. 2024. Surgical treatment of gallstone ileus caused by cholecystoduodenal fistula: A case report. European Journal of Medical Case Reports, Online First: 26 May, 2024. doi:
10.24911/ejmcr.173-1701863881
Nguyen, Trong Anh, Lars Leupolt, Carolin Fischer, and Eberhard Schneider. "Surgical treatment of gallstone ileus caused by cholecystoduodenal fistula: A case report." European Journal of Medical Case Reports Online First: 26 May, 2024. doi:
10.24911/ejmcr.173-1701863881
Nguyen, Trong Anh, Lars Leupolt, Carolin Fischer, and Eberhard Schneider. "Surgical treatment of gallstone ileus caused by cholecystoduodenal fistula: A case report." European Journal of Medical Case Reports Online First: 26 May, 2024. Web. 03 Jul 2024 doi:
10.24911/ejmcr.173-1701863881
Nguyen, T. A., Leupolt, . L., Fischer, . C. & Schneider, . E. (2024) Surgical treatment of gallstone ileus caused by cholecystoduodenal fistula: A case report. European Journal of Medical Case Reports, Online First: 26 May, 2024. doi:
10.24911/ejmcr.173-1701863881